Remote Revenue Cycle Specialist - Unbilled

As a Remote Revenue Cycle Specialist - Unbilled at Community Health Systems (CHS) - Shared Services Center, you’ll play a vital role in quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. 

Our team members enjoy a robust benefits package including:

•  Paid Time Off (PTO)
• Comprehensive Health Benefits - Medical, Dental & Vision
•  401k with company match
• Tuition reimbursement 

The Revenue Cycle Specialist - Unbilled supports various aspects of the revenue cycle process, including claims submission, billing, coding, payment posting, and accounts receivable management. This position ensures timely and accurate reimbursement by identifying and resolving claim issues, following up with payers, and adhering to payer and regulatory guidelines. The Revenue Cycle Specialist plays a key role in optimizing revenue cycle workflows and ensuring compliance with organizational policies. 

Essential Functions

• Reviews and submits claims to payers, ensuring accuracy and adherence to payer and regulatory guidelines.
• Identifies and resolves claim denials and rejections by researching root causes, correcting errors, and resubmitting claims as needed.
• Assists with payment posting and reconciliation to ensure accuracy and resolve payment discrepancies.
• Performs follow-up on outstanding accounts receivable (AR) balances, working with payers to expedite payments and resolve issues.
• Reviews coding and billing for accuracy, collaborating with team members to address discrepancies and ensure proper use of CPT, ICD-10, and HCPCS codes.
• Monitors payer requirements and updates processes to ensure compliance with changes in policies and regulations.
• Maintains accurate documentation of revenue cycle activities, including claim follow-up, denial resolution, and payment posting.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Healthcare Administration, Business, or a related field preferred
• 1-3 years of experience in healthcare revenue cycle operations, including claims processing or accounts receivable management required
• Experience with claim denials and payer reimbursement processes preferred
• Familiarity with electronic health record (EHR) systems and revenue cycle software preferred

Knowledge, Skills and Abilities

• Knowledge of revenue cycle processes, including claims submission, payment posting, and AR management.
• Basic understanding of healthcare billing and coding, including CPT, ICD-10, and HCPCS codes.
• Attention to detail and problem-solving skills for resolving claim and payment issues.
• Organizational skills to manage tasks, prioritize workload, and meet deadlines.
• Strong verbal and written communication skills for collaborating with team members and payers.
• Knowledge of HIPAA and other regulatory requirements impacting the revenue cycle.
• Proficiency with revenue cycle software, EHR systems, and Microsoft Office applications.

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.